The Office of Human Resources

• Compensation management guide (read before opening other documents in this section)

• Adjustment review (pdf)

• Fair Labor Standards Act (FLSA) questionnaire for managers and supervisors (pdf)

• Job profile template (pdf)

• One-Time Pay (Bonus) Form (pdf)

• Position review (pdf)

• Lou Ennis Staff Award (online form)

• Louis and Helen Zirkel Staff Award (online form)

• Spot Reward gift card request and approval (pdf)

• Employee prereview input (pdf)

• Performance evaluation (pdf)

  • Performance evaluation guidelines

• Form I-9: remote hire instructions (pdf)

• Temporary administrative staffing request (online form)

• Temporary information technology staffing request (online form)

• Temporary staffing request FAQ (applies to the two forms listed above)

• Rights and obligations under the Massachusetts Family and Medical Leave law, effective Jan. 1, 2021 (pdf): English | Spanish

• Dependent care claim reimbursement (WageWorks website)

• Health care claim reimbursement (WageWorks website)

• Health insurance marketplace coverage from Mass. Department of Labor (pdf)

• OptumRx member reimbursement request form (pdf)

• Tufts member COVID test reimbursement form (Tufts Health Plan website)

• Tufts member reimbursement medical claim (Tufts Health Plan website)

• Tufts member fitness rebate (Tufts Health Plan website)

• Tufts weight management member rebate (Tufts Health Plan website)

Accessible via NetBenefits

The following retirement plan forms can accessed directly via the university's NetBenefits retirement planning portal:

• Fidelity beneficiary designation

• Fidelity change of address

• TIAA designation of beneficiary

• TIAA name change

• TIAA Group Supplemental Retirement Annuity enrollment (used for voluntary contributions)

• TIAA RA Enrollment (used for required contributions only)

Downloadable Forms

• Service credit at other college or university hire instructions (pdf)

• Alternative work schedule agreement (pdf)

• Alternative work schedule request (pdf)

• Telecommuting agreement (pdf)

• Telecommuting request (pdf)

• Dependent child of staff attending Brandeis (pdf)

• Dependent child of faculty or senior management group attending Brandeis (pdf)

• Dependent child of faculty or senior management group attending institution other than Brandeis (pdf)

• Tuition remission and tax waiver application for employee (pdf)

• Tuition remission application for qualified dependents of employees (pdf)

• Supervisor's report of illness or injury (pdf)